EXAM NEW NEW GRADED A+
The nurse is caring for a 12 year-old with an acute illness. Which of
the followingindicates the nurse understands common sibling reactions to
hospitalization?
A) Younger siblings adapt very well
B) Visitation is helpful for both
C) The siblings may enjoy privacy
,D) Those cared for at home cope better
The correct answer is B: Visitation is helpful for both
Parents of a 7 year-old child call the clinic nurse because their daughter
was sent homefrom school because of a rash. The child had been seen the day
before by the health care provider and diagnosed with Fifth Disease (erythema
infectiosum). What is the most appropriate action by the nurse?
A) Tell the parents to bring the child to the clinic for further evaluation
B) Refer the school officials to printed materials about this viral illness
C) Inform the teacher that the child is receiving antibiotics for the rash
D) Explain that this rash is not contagious and does not require isolation
The correct answer is D: Explain that this rash is not contagious and does not
require isolation
When making a home visit to a client with chronic pyelonephritis,
which nursingaction has the highest priority?
A) Follow-up on lab values before the visit
B) Observe client findings for the effectiveness of antibiotics
C) Ask for a log of urinary output
D) As for the log of the oral intake
The correct answer is C: Ask for a log of urinary output
The nurse is caring for a newborn who has just been diagnosed with
hypospadias.After discussing the defect with the parents, the nurse should
expect that
A) Circumcision can be performed at any time
B) Initial repair is delayed until ages 6-8
C) Post-operative appearance will be normal
D) Surgery will be performed in stages
The correct answer is D: Surgery will be performed in stages
, The nurse is assessing a client on admission to a community mental
health center.The client discloses that she has been thinking about ending
her life. The nurse's best response would be
A) "Do you want to discuss this with your pastor?"
B) "We will help you deal with those thoughts."
C) "Is your life so terrible that you want to end it?"
D) "Have you thought about how you would do it?"
The correct answer is D: "Have you thought about how you would do it?"
, The nursing care plan for a client with decreased adrenal function should
include
A) Encouraging activity
B) Placing client in reverse isolation
C) Limiting visitors
D) Measures to prevent constipation
The correct answer is C: Limiting visitors
The nurse is caring for a client with acute pancreatitis. After pain
management,which intervention should be included in the plan of care?
A) Cough and deep breathe every 2 hours
B) Place the client in contact isolation
C) Provide a diet high in protein
D) Institute seizure precautions
The correct answer is A: Cough and deep breathe every 2 hours
Which of the following conditions assessed by the nurse would
contraindicate theuse of benztropine (Cogentin)?
A) Neuromalignant syndrome
B) Acute extrapyramidal syndrome
C) Glaucoma, prostatic hypertrophy
D) Parkinson's disease, atypical tremors
The correct answer is C: Glaucoma, prostatic hypertrophy
The nurse is caring for a client in the coronary care unit. The display
on the cardiacmonitor indicates ventricular fibrillation. What should the
nurse do first?